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Veterinary World, EISSN: 2231-0916 RESEARCH ARTICLE

Available at www.veterinaryworld.org/Vol.6/Nov-2013/7.pdf Open Access

Protective role of turmeric on histological, ultrastructural and sero-


biochemical changes in cisplatin-induced nephrotoxicity in female rats
B. Ramya, Y. Anjaneyulu, A. Gopala Reddy1, D. Madhuri, M. Lakshman and P. Shivakumar1

Department of Veterinary Pathology, College of Veterinary Science, Sri Venkateswara Veterinary University,
Rajendranagar, Hyderabad, Andhra Pradesh, India; 1. Department of Vetinary Pharmacology & Toxicology, College of
Veterinary Science, Sri Venkateswara Veterinary University, Rajendranagar, Hyderabad, Andhra Pradesh, India
Corresponding author: P. Shivakumar, e mail: drshiva40@gmail.com
Received: 27-06-2013, Revised: 24-08-2013, Accepted: 26-08-2013, Published online: 05-10-2013

doi: 10.14202/vetworld.2013.865-869 How to cite this article: Ramya B, Anjaneyulu Y, Gopala Reddy A, Madhuri D,
Lakshman M and Shivakumar P (2013) Protective role of turmeric on histological, ultrastructural and sero-biochemical
changes in cisplatin-induced nephrotoxicity in female rats, Veterinary World 6(11): 865-869.

Abstract
Aim: Protective role of turmeric was assessed against cisplatin-induced histological and ultra-structural changes in kidney.
Materials and Methods: A total of 48 rats were divided into 4 groups of 12 rats in each. Group 1 was kept as sham control,
group 2 was treated with cisplatin (@ 2 mg/kg b.wt, intraperitoneally on day 1, 7, 14 and 21), group 3 with turmeric (@ 0.05
mg/kg b.wt. p.o. once daily for 28 days) and group 4 with cisplatin + turmeric (as per above schedule). Blood was collected at
fortnight intervals and serum was separated for estimation of kidney biomarkers. Six rats in each group were then euthanized
on day 14 and 28 for histopathology, and tissue parameters were assayed on day 28.
Results: Thibarbituric acid reacting substances (TBARS), protein carbonyls, serum creatinine, blood urea nitrogen (BUN)
were significantly (P < 0.05) increased, while GSH was significantly (P < 0.05) decreased in group 2 as compared to other
groups. Histological sections of kidney from group 2 rats showed marked inter-tubular haemorrhages, congestion, marked
dilation of tubules, and other lesions of pathological significance. Ultrastructural changes of pathological significance were
also recorded in group 2. Kidney sections of group 4 showed nucleus with uniform size with well differentiated nuclear
membrane and nucleolus, and prominent inter tubular and inter cellular junctions.
Conclusion: The study revealed that cisplatin induces nephrotoxicity due to oxidative stress and turmeric was found
beneficial in countering the adverse effects.
Key words: cisplatin, nephrototoxicity, oxidative stress, turmeric.
Introduction the most useful part of the plant for culinary and
Cancer occurance in India is estimated to be medicinal purposes. Turmeric is obtained from dried
around 2.5 million with over eight lakh new cases and rhizomes of C. longa. Biological properties of turmeric
50 thousand deaths occurring each year [1]. includes antibacterial, antiprotozoan, antiviral, hypolipemic,
Chemotherapy and radiotherapy are the most common hypoglycemic, anticoagulant, antioxidant, antitumour
modalities of cancer treatment. Cisplatin is a platinum and anticarcinogenic activities [10]. Turmeric has
containing drug used in the treatment of various types protective role in cisplatin induced hepato-toxicity [11].
of cancers [2]. Cisplatin based combination chemo- The present study was undertaken in female
therapy regimens are currently used as front line Sprague dawley rats to evaluate the effect of cisplatin
therapy in treatment of various solid tumors [3]. It has on kidney biomarkers and histological, ultrastrucural
dose-dependent cytotoxicity on kidney and other alterations, if any, and to assess the protective role of
organs [4, 5]. The adverse drug reactions were due to turmeric in ameliorating the toxic effects.
the increased production of reactive oxygen species Materials and Methods
leading to oxidative stress [6]. Nephroprotective action
Ethical approval: The protocol of the experiment was
of Merremia emarginata in cisplatin toxicity was
reported by Sudhavani et al. [7]. Ulkanet al. [8] approved by the Institutional Animal Ethics Committee
reported protective role of melatonin, potent ani- according to guidelines given by Committee for the
oxidant in cisplatin induced nephrotoxicity. Various Purpose of Control and Supervision of Experiments on
herbs rich in flavonoids and polyphenols have anti- Animals (CPCSEA).
oxidant properties [9]. Amongst the alternative Chemical Reagents: Cisplatin was obtained from VHB
systems of medicine, the use of herbal medicine has Life Sciences Ltd.,Mumbai. Fresh turmeric was
attracted wide attention in India, in view of the procured from farm and was shade dried and made into
availability of medicinal plants in abundance and their powder. Other chemicals and reagents were obtained
easy accessibility. The rhizome of Curcuma longa is from Qualigens Pvt. Ltd., Mumbai, India.
Copyright: The authors. This article is an open access article licensed
under the terms of the Creative Commons Attribution License Animals: Female rats of Sprague dawley (Rattusnorvegicus)
(http://creativecommons.org/licenses/by/2.0) which permits strain 3 months old (weighing 150-200g) were procured
unrestricted use, distribution and reproduction in any medium,
provided the work is properly cited. from NCLAS- NIN, Tarnaka, Andhra Pradesh.
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Experimental procedure: A total of 48 Sprague dawley Measurement of Thiobarbituric acid reacting substances
female rats were randomly divided into 4 groups (TBARS): Kidney TBARS levels were measured as per
consisting of 12 rats in each group. All the groups were the procedure described by[17]. 500 µl of supernatant
maintained as per the following treatment schedule. from the homogenate, 1 ml of 10% TCA and 1 ml of
Group 1, Sham control were given saline by 0.67% thiobarbituric acid were taken in a tightly
intraperitoneal injection weekly once for 4 weeks, Stoppard glass tube. The tube was kept in hot water
group 2, Cisplatin control (Cisplatin@ 2 mg / kg body bath maintained at 1000C for 45 minutes.Remove the
wt. by i.p injection weekly once for 4 weeks), group 3, tube from water bath and the contents are centrifuged
turmeric control (turmeric @ 0.05 ppm by oral gavage after cooling. The supernatant was collected and read
needle daily) and group 4 Cisplatin +turmeric the absorbance at 532 nm against blank. The
(Cisplatin @ 2 mg/kg body wt. by intraperitoneal concentration of test samples was obtained using molar
injection weekly once for 4 weeks + turmeric @ 0.05 extinction coefficient of MDA.
ppm body wt. by oral gavage needle daily). Turmeric Measurement of protein carbonyls: Kidney protein
was administered by dissolving in DMSO. carbonyl levels were measured as per the procedure
Statistical analysis: The data were subjected to described by[18]. 1 ml of homogenate containing 1 mg
statistical analysis by applying one way ANOVA. protein was added to 4 ml of 10 mMdinitrophenyl
Differences between means tested using Duncan's hydrazine (DNPH) in 2.5 M HCl. Samples were
multiple comparison tests and significance was set at P vortexed and incubated at room temperature for 60
< 0.05 [12]. minutes in dark. Then protein was precipitated by
Blood was collected by retro orbital plexus at adding 5 ml of 20% TCA and centrifuged at 3000 rpm
fortnight intervals and serum was separated for for 10 min, to collect protein precipitate, which was
estimation of renal biomarkers [13]. Six rats in each washed thrice with 4 ml ofethyl acetate: ethanol (1:1)
group were euthanized on day 14 and 28 for solution. Final protein precipitate was re-dissolved in 2
histopathology, while tissue parameters were assayed ml of 6 M guanidine HCl in 20 mM of potassium
on day 28. The tissue pieces were stored in 10% phosphate and kept at 370C for 10 min, and centrifuged
NBFfor histopathological study. The fixed tissues were to remove the insoluble substances and the absorbance
processed and stained with Haematoxylin and Eosin (H was read at 372 nm against 2.5 M HCl blank. Known
& E) [14], stain for histopathology. To study ultra concentration of bovine serum albumin (BSA)
structural changes, samples were collected in vials and dissolved in 6 M guanidine HCl in 20 mM of potassium
fixed in 2.5% gluteraldehyde in 0.05 M phosphate phosphate was used as standard.
buffer (pH 7.2) for 24 h at 4o C, after the post-fixation, Results and Discussion
samples were dehydrated in a series of graded alcohol
and infiltrated and embedded in Araldite 6005 resin. The rats of group 1 did not reveal any abnormal
Ultra thin sections (50-70 nm thickness) were cut with symptoms throughout the course of the experiment.
a glass knife on a Leica Ultra cut UCT-GA-D/E-1/00 Rats of group 2 showed pronounced depression,
ultra microtome and mounted on grids. Then the inappetance, loss of condition and also revealed
sections were stained with saturated aqueous uranyl reduction in feed, water consumption and weight gain.
acetate and counter stained with 4% lead citrate and Two to three days after administration of the drug,
were observed at various magnifications under a marked polyuria and mild diarrhoea were observed in
transmission electron microscope (Model: Hitachi, H- rats of group 2. Rats of group 4 also showed these
7500) at RUSKA Lab, College of Veterinary Science, symptoms, though they were mild to moderate when
Hyderabad, India.[15]. compared to group 2. Thorough postmortem was
After sacrifice, kidneys were immediately conducted on all sacrificed rats and lesions of
excised, rinsed with ice-cold normal saline and stored pathological significance were recorded. Reduction in
at -500C for further homogenization to estimate size of kidney was appreciable in rats of group 2 as
thiobarbituric acid reacting substances (TBARS), compared to other groups (Fig.1).
protein carbonyls and reduced glutathione (GSH). The sections of kidney in group 2 on day 14
revealed moderate congestion (Fig.2) and marked inter
Measurement of glutathione (GSH): Kidney GSH tubular hemorrhages (Fig.3). Few sections revealed
levels were measured as per the procedure described marked tubular dilatation (Fig.4). Sections on day 28
by[16]. 100 µl of 25% TCA was added to 400 µl of revealed moderate hemorrhages with disrupted tubular
kidney homogenate, centrifuged and supernatant is epithelium with few tubules showing moderate
collected to use as sample. To 2.0 ml of 0.6 mM 5-5' degenerative changes (Fig.5). Few glomeruli revealed
dithiobis-2-nitrobenzoic acid (DTNB) in 0.2 M sodium disappearance of capillary network while few with
phosphate (pH 8), 0.1 ml of sample and 0.9 ml of 0.2 M shrunken glomeruli (Fig.6). The sections of kidney in
phosphate buffer was added and the absorbance was group 4 on day 14 showed moderate tubular dilatation
read at 412 nm against a reagent blank. The standards with mild degenerative changes (Fig.7) where as
(0.05-5 mg/ml) were also treated in the same way. sections on day 28 showed mild dilatation of tubules
(Fig.8). Transmission electron microscopy of kidney in
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Fig. 1 Photograph of rat kidney Fig. 2 Photomicrograph of kidney Fig. 3 Photomicrograph of kidney Fig. 4 Photomicrograph of kidney
showing reduction in size (Group showing moderate congestion showing marked intertubular showing marked tubular dilation
II, day 28). (Group 2, day 14). H&E X100 haemorrhages (Group 2, day 14) (Group 2, day 14). H&E X100
H&E X100

Fig. 5 Photomicrograph of Kidney Fig. 6. Photomicrograph of Kidney Fig. 7. Photomicrograph of Kidney Fig. 8 Photomicrograph of Kidney
showing hemorrhages and showing shrunken glomeruli and showing moderate tubular dilation showing mild dilation of tubules in
disrupted tubular epithelium absence of capillary network in and mild degenerative changes group 4 on day 28. H&E X100
(Group2, day 28). H&E x 100 few. (Group 2, day 28) H&E X 200 (Group 4, day 14). H&E X 100

Fig. 9 TEM of kidney showing Fig. 10 TEM of kidney showing Fig. 11 TEM of kidney showing Fig. 12 TEM of Kidney showing
moderate dilation of tubules, nuclear changes like pyknosis, loss of cell junction, degeneration intact intercellular junction (icj),
disruption of nuclear chromatin dilation of nuclear pores (NP) of tubular epithelium, disruption pyknotic and swollen nucleus (N),
material (C), perinuclear clumping condensation, clumping of nuclear of chromatin (C), elongattion of varied shapes and sizes of
of mitochondria (M), margination material (C) and cell without mitochondria (M) with electron mitochondria (M), condensed
of chromatin material and condensed nucleus (WN) (Group 2, day 28). dense granular material and rough endoplasmic reticulum
endoplasmic reticulum(E) (Group Uranyl acetate leadcitrate X 3222 cytoplasmic vacuolation (V) (RER) and cytoplasmic
2, day 28). Uranyl acetate lead (Group 2, day 28). Uranyl acetate vacuolation (V) (Group 2, day 28).
citrate X 8950 lead citrate X 6265 Uranyl acetate lead citrate X 3580

group 2 revealed moderate dilatation of tubules, varied Sections from rats of group 4 showed nucleus with
shapes and sizes of mitochondria, disruption of nuclear uniform size, well differentiated nuclear membrane
chromatin material, perinuclear clumping of and nucleolus, intact inner and outer nuclear membrane
mitochondria, marked cytoplasmic vacuolation, (Fig.13). Few sections also revealed regenerating
margination of chromatin material, disrupted and mitochondria and intact inter-tubular junction (Fig.14)
condensed endoplasmic reticulum (Fig.9). Few and few sections with prominent inter tubular and inter
sections showed nuclear changes like pyknosis, cellular junctions, prominent nucleus, nucleolus and
dilatation of nuclear pores, condensation and clumping regenerating mitochondria (Fig.15). Certain others
of nuclear material (Fig.10), degeneration of tubular showed proximal convoluting tubules with
epithelium, disruption of chromatin, elongation of regenerating brush border, swollen and elongated cilia
mitochondria with electron dense granular material and regenerating mitochondria (Fig.16).
and cytoplasmic vacuolation (Fig.11), intact intercellular The concentration of TBARS and protein carbonyls
junction, pyknotic and swollen nucleus, varied shapes in rats of group 2 was significantly increased, whereas
of mitochondria,condensed rough endopl-asmic GSH concentration was significantly reduced compared
reticulum and cytoplasmic vacuolation (Fig.12). to other groups. This might be due to accumulation of
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Fig. 13 TEM of kidney showing Fig. 14 TEM of kidney showing Fig. 15 TEM of kidney showing Fig. 16 TEM of kidney showing
nucleus (N) with uniform size, well regenenerating mitochondria (M) prominent inter tubular and inter proximal convoluting tubules with
differrentiated nuclear membrane and intact intertubular junction cellular junctions (J), prominent regenerating brush border (B),
and nucleolus (NL), intact inner (itj) (Group 4, day 28). Uranyl nucleus (N), nucleolus (NL) and swollen, elongated cilia (C) and
and outer nuclear membranes acetate lead citrate X 3580 regenerating mitochondria (M) regenerating mitochondria (M).
(NM) (Group 4, day 28). Uranyl Uranyl acetate lead citrate X 6265 Uranyl acetate lead citrate X 8950
acetate lead citrate X 4475

Table-1. Kidney biomarkers of oxidative stress indifferent groups of rats

Group TBARS Protein carbonyls Reduced Glutatione


(n mol MDA/mg protein) (n mol/mg protein) (n mol/mg protein)
1.Sham Control 5.34± 0.29a 3.39± 0.21a 212.31± 7.31a
2.Cisplatin 11.47±0.72b 9.42 ±0.48b 96.70 ±5.36b
3.Turmeric 4.92±0.22a 3.11 ±0.26a 210.66 ±8.40a
4.Cisplatin+Turmeric 7.53±0.43c 6.47± 0.52c 156.61 ±5.97c
Values are Mean + SE (n = 6); One way ANOVA (SPSS Version 15)

Table-2. Serum biomarkers of nephrotoxicity in different groups of rats

Group BUN (mg/dl) Creatinine (mg/dl)


Day 14 Day 28 Day 14 Day 28
a a a
1. Control 14.36 ±0.75 14.26±0.93 1.36 ±0.18 1.31±0.12a
2.Cisplatin 28.49±2.13b 34.05±2.39b 3.63±0.21b 6.57±0.38b
3.Turmeric 13.45±1.16a 13.73±1.26a 1.35±0.16a 1.18±0.17a
4.Cisplatin +Turmeric 20.40±1.00c 24.37±2.15c 2.42±0.23c 4.27±0.29c
Values are Mean + SE (n = 6); One way ANOVA (SPSS Version 15)
Values with different superscripts differ significantly (P<0.05) in the same column

cisplatin in renal epithelial cells' mitochondria, which Prathibha et al. and Chattopadhyay et al.[22, 23].
further enhanced Reactive Oxygen Species (ROS) Conclusion
generation by reduced activity of antioxidant enzymes
and by depleting GSH levels. These findings are in There was improvement in group 4 (Cisplatin +
accordance with the results described previously in rats turmeric) in all parameters compared to group 2 (Cisplatin
[19, 20]. Further, it might be due to the oxidation of alone), as turmeric had antioxidant properties through
mitochondrial proteins and lipids that caused increase which it combats ROS which was confirmed by the
in protein carbonyls and TBARS, which was indicated results of the study.
by increased levels of renal biomarkers (creatinine and Authors' contributions
BUN) in serum. These findings are in agreement
withearlier reports [21]. The present article was part of BR's M.V.Sc research
Histological sections of kidney in group 2 showed work. YA designed and approved the experimental
tubular dilatation, shrunken glomerulus, hyaline casts, protocol. PS drafted the manuscript and AGR critically
inter tubular congestion and other degenerative reviewed the manuscript and provided laboratory
changes. Transmission electron microscopy (TEM) animal facilities, DM was the minor research
revealed dense chromatin in nucleus and mitochondrial supervisor who made critical suggestions in
changes. As kidney being essential organ of conducting the experiment, ML was the incharge of
metabolism and elimination of toxic components, Ruska Labs where electron microscopy of the samples
besides rich in poly unsaturated fatty acids that are the was done. All authors read and approved the final
targets for electrophilic molecules, it served as a major manuscript.
site of attack for cisplatin that gets activated to reactive Acknowledgements
platinum complex in vivo. Accumulation of reactive
metabolites of cisplatin induces alterations in cellular The authors are thankful to the Sri Venkateswara
level that might be due to induction of reactive oxygen Veterinary University, Tirupati for funding the
species and subsequent oxidative damage. These research.
findings are in accordance with the earlier findings of
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Competing interests cisplatin-induced hepatotoxicity and protectiverole of


turmeric in rats. International Journal of Pharma and Bio
The authors declare that they have no competing interests. Sciences 4(1): (b) 133 – 143.
12. Snedecor, G. W. and Cochran, W. G. (1994) Statistical
References methods, 8th edition, IOWA State University Press, Amer,
1. Nanda Kumar, A. (1990-1996) National Cancer Registry IOWA, USA. Pp. 237-252.
Program, Indian Council of Medical Research, Consolidated 13. Satia, N. C., Dawani, R. R. and Goyal, R. K. (1997)Benefical
Report of Population Based Cancer Registries, New Delhi, effects of clonidine in streptozocine induced Diabetes and
India. Doca-hypersensitive rats. Journal of Pharmacy and
2. Stephen, T. (2005) Cisplatin. Chemical and Engineering Pharmacology 49:1030-1035.
News 83: 52. 14. Culling C F A,Handbook of Histopathological Technique,
3. Noori, S. and Mahboob, T. (2010). Protective role of (Butterworth & Company (Publishers) Limited Landon)
carnosine pretreatment on cisplatin- induced kidney damage 1957. Pp. 1-50.
in rats. Indian Journal of Clinical Biochemistry 25: 86-91. 15. Bozzola, J. J. and Russell, L. D. 1999. Electron Microscopy:
4. Pratibha, R., Sameer, R., Padmanabh, V., Rataboli., Principles and Techniques for Biologists. 2ndEdn., Jones and
Dayanand, A., Bhiwgade. and Chitra, Y. D. (2006) Enzyme Bartlett, Boston.
studies of cisplatin induced hepatic tissue damage in rats. 16. Moron, M. S., Depierre, J. W. and Mannervik, B. (1979)
European Journal of Pharmacology 532:290-293. Levels of GSH, glutathione reductase and GST in rat lung
5. Naqshbandi, A., Khan, M. W., Rizwan, S., Yusufi, A. N. K. and liver. Biochimica et Biophysica Acta. 582: 67-68.
and Khan, F. (2011) Protective role of fish oil in cisplatin 17. Balasubramanian, K. A., Manohar, M. and Mathan, V. I.
induced liver toxicity.Biology and Medicine 3:86-97. (1988)An unidentified inhibitor of lipid peroxidation in
6. Zafar, A. B. R., David, B. and Pradip, D. (2010) Prevention of intestinal mucosa. Biochimicaet Biophysica Acta. 962:51-
Cisplatin Induced Nephrotoxicity by Ethanolic Extract of 58.
Embelia ribes Fruits and α Tocopherol in Experimental 18. Levine, R. L., Garland, D., Oliver, C. N., Amici, A., Climent,
Animals. Journal of Complementary and Integrative I., Lenz, A, G., Ahn, B, W., Shaltiel, S. and Stadtman, E. R.
Medicine 7:53. (1990) Determination of carbonyl concentration in oxidative
7. Sudhavani, V., Chinnikrishnaiah, V., Raghu, Moorthy, V., proteins. Methods in Enzymology. 186: 464-478.
Raghavendra, H.G. and Ranganayakulu, D. (2010) 19. Yousef, M. I., Saad, A. A. and El-Shennawy, L. K. (2009)
Merremiaemarginata burmprotects against cisplatin induced Role of grape seedextract in by cisplatininduced oxidative
nephrotoxicity rats. Journal of Advances in Drug Research damagein rats. Food and Chemical Toxicology 47: 1176 –
1: 2230-7761. 1183.
8. Ulkan, K., Ertugrul, K., Zeynep, T., Mehmet, T., Ibrahim H. 20. Marie, H. H. and Prasad, D. (2003) Molecular mechanisms
O., Okkes, Y., Fikrettin, S., and Kazim, S.(2013) Melatonin inCisplatin renal-toxicity.Cancer Therapeutics.1: 47–61.
suppresses cisplatin-induced nephrotoxicity via activation of 21. Santos, N. A., Catao, C. S., Martins, N. M., Curti, C.,
Nrf-2/HO-1 pathway.Nutrition & Metabolism 10:7. Bianchi, M.L. and Santos, A.C. (2007)Cisplatin induced
9. Zsuzsanna, K.,Zsengeller,L. E., Dan, B., Bela, H., Partha, M. nephrotoxicity is associated with redox state imbalance,
B. K., Samir M. P., Ananth. K., Isaac E. S., Pal, P. (2012) impairedenergy metabolism and apoptosis in rat kidney
Cisplatin Nephrotoxicity Involves Mitochondrial Injury with mitochondria. Archieves of Toxicology. 81:495-504.
Impaired Tubular Mitochondrial Enzyme Activity. Journal 22. Pratibha, R., Dayanand, A., Bhiwgade., Sameer, K.,
of Histochemistryand Cytochemistry 60: 521-529. Padmanabh, V., Rataboli. And Chitra, Y. D. (2010) Cisplatin
10. Deeb, D., Xu, Y. X., Jiang, H., Gao, X., Janakiram, N., induced histological changes in renal tissue of rat.
Chapman, R. A. and Gautam, S. C. (2003) Curcumin Journal of Cell and Animal Biology.4: 108-111.
enhances TNF-related apoptosis enhancing ligand-induced 23. Chattopadhyay, I., Kaushik, B., Bandyopadhyay, U. and
apoptosis in LNCaPprostate cancer cells. Molecular Cancer Banerjee, R.K. (2004) Biological effects and medicinal
Therapeutics 2: 95–103. properties of turmeric and curcumin, Current Science,87 :44-
11. Ramya, B., Anjaneyulu,Y.,Gopalareddy, A.(2013)A study on 53.

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